Your health plan would have to cover a medicine for perimenopause or menopause
What it does
HB 647 would require any health benefit plan that covers prescription drugs to also cover a prescription drug used to treat perimenopause or menopause. The requirement would reach insurance policies, hospital service contracts, health maintenance organizations and similar plans, and also basic coverage plans, primary care coverage plans, and the state Medicaid program with its managed care program. If a state agency finds it needs a federal waiver to implement any part of the bill, it can ask for one and delay that part. The coverage requirement would apply only to plans delivered, issued, or renewed on or after January 1, 2028, and the bill takes effect September 1, 2027.
What it means for your community
If your insurance covers prescription drugs, it would have to cover a medicine for perimenopause or menopause, including coverage you get through your job. If you are on Medicaid, the state program and its managed care program would be covered too. Plans already in place would not have to change until they are renewed on or after January 1, 2028. If a federal waiver is needed before a state agency can put part of the rule in place, that part could be delayed.
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